Claims Advocate Team Lead - Pollution and Liability
alliantEastern, KY
Claims Advocate Team Lead - Pollution and Liability
L5
alliantEastern, KY3 days ago
Occupations
Insurance Claims and Policy Processing ClerksClaims Adjusters, Examiners, and InvestigatorsInsurance Sales AgentsIndustries
Claims AdjustingAll Other Insurance Related ActivitiesDirect Property and Casualty Insurance CarriersSUMMARY:
Responsible for providing adequate coverage/policy interpretation on medium to large complex claims. Substantial direct client contact involved.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Manages claims status and prompts various parties, broker, staff, client and adjuster to take next step; including prepayment, partial payment, gather information, work with subrogation contacts. Partners with client legal counsel on coverage, claims and strategy for settlement; Manages primarily medium to large, complex claims; Manages and oversees claims data in database including claims updates, running claims runs, analyzing claims information and preparing information for underwriting and/or client review; Prepares coverage arguments for client advocacy and form coverage positions as client advocate; Provides adequate coverage/policy interpretation for large property and casualty claims; Prepares and analyzes loss valuations; Attends claims meetings with clients, carriers, legal counsel and adjusters to review claim status, resolve and settle issues; Provides follow-up calls, written correspondence and keep records of all work done on behalf of our clients; Partners with client on case preparation and support as needed; Uses negotiation skills to provide best possible outcome for clients as needed; Builds and establishes strong relationships with carriers, adjusters and clients; Develops training materials with a client and service team perspective for coverage reviews, loss reporting procedures, claims guidelines in handling various situations; Delivers claims training in person and in client workspace as needed; Manages claims staff, including motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate; Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information); Other duties as assigned. QUALIFICATIONSEDUCATION/EXPERIENCEBachelor's Degree or equivalent combination of education and experience Ten (10) or more years related work experience, brokerage or carrier experience In depth knowledge of all commonly encountered P&C insurance coverage and Risk Managementconcepts and techniques Chartered Property Casualty Underwriter (CPCU) Associate in Claims-American Institute for Chartered Property and Casualty Underwriters (AICPU) Accredited Accounts Receivable Manager (ARM) Valid Fire and Casualty Broker – Agent licenseSKILLSExcellent verbal and written communication skillsExcellent leadership, problem solving and time management skills Advanced analytical skillsExcellent planning, organizational and prioritization skills Ability to interface with executives – internal and external Proficient in Microsoft Office products
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Level
SeniorL5
Location
Eastern, KY
Occupation
Insurance Claims and Policy Processing Clerks
Industry
Claims Adjusting
Posted
3 days ago
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